Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Southwell Mobile Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WILLS (SVP, CFO)
(229) 353-3397
Entity
Organization
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/21/2021
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